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袁今奇教授论治子宫腺肌症痛经经验OA

Professor YUAN Jinqi's experience in treating dysmenorrhea caused by adenomyosis

中文摘要英文摘要

总结袁今奇教授治疗子宫腺肌症痛经的临床经验.其认为该病核心病机为肾精不足、瘀血阻滞,提出分型论治与分期论治相结合的治疗原则.经期急则治其标,以活血祛瘀为主快速缓解疼痛;非经期缓则治其本,以培补元气为要,通过补肾填精、益气养血改善体质.临证强调辨体、辨病、辨证三者结合,善用虫类药物搜剔经络瘀滞以消癥散结,注重通补奇经以固护冲任,在明确治则的基础上守法守方,同时根据患者的具体症状灵活加减,临床疗效显著,附典型病案1则以验证.

This study outlines professor YUAN Jinqi's clinical expertise in the management of dysmenorrhea caused by adenomyosis.He posits that the fundamental pathogenesis centers on deficiency of kidney essence cou-pled with blood stasis obstruction.Accordingly,his therapeutic approach integrates syndrome differentiation with stage-specific intervention.During menstruation,the priority is the urgent alleviation of acute symptoms—primarily achieved through promoting blood circulation and resolving stasis to ensure rapid pain relief.In the intermenstrual phase,the focus shifts to addressing the underlying pathology gradually,aiming to restore constitutional integrity via kidney tonification,essence replenishment,qi supplementation,and blood nourishment.In clinical practice,professor YUAN emphasizes a holistic assessment encompassing constitutional predisposition,disease progression,and syn-drome pattern.He skillfully incorporates insect-derived medicinal substances to unblock meridian stasis and resolve masses or nodules,while also prioritizing the regulation and tonification of the extraordinary vessels—particularly the Chong and Ren meridians—to enhance their functional integrity.On the basis of clear therapeutic principles,he consistently applies core treatment strategies and formula,yet tailors them flexibly according to individual patient presentations.Clinical outcomes are notably favorable,as substantiated by a representative case study presented herein.

杨军用;甘霞;刘杰;王琳;魏亚茹;张选明;袁今奇

石河子大学附属中医医院内科,新疆 石河子 832000||石河子大学第一附属医院中医科,新疆 石河子 832000石河子大学附属中医医院内科,新疆 石河子 832000||石河子大学第一附属医院中医科,新疆 石河子 832000石河子大学附属中医医院内科,新疆 石河子 832000||石河子大学第一附属医院中医科,新疆 石河子 832000石河子大学附属中医医院内科,新疆 石河子 832000||石河子大学第一附属医院中医科,新疆 石河子 832000石河子大学附属中医医院内科,新疆 石河子 832000||石河子大学第一附属医院中医科,新疆 石河子 832000石河子大学附属中医医院内科,新疆 石河子 832000||石河子大学第一附属医院中医科,新疆 石河子 832000石河子大学附属中医医院内科,新疆 石河子 832000||石河子大学第一附属医院中医科,新疆 石河子 832000

医药卫生

子宫腺肌症痛经临床经验袁今奇

adenomyosisdysmenorrheaclinical experienceYUAN Jinqi

《甘肃中医药大学学报》 2026 (2)

20-24,5

新疆生产建设兵团重点领域科技攻关计划项目(2023AB046)国家中医药管理局全国名中医传承工作室建设项目(国中医药办人教函[2018]119).

10.16841/j.issn1003-8450.2026.02.04

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